| NPI | 1942177464 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MILLION GEBREMESKEL Program Administrator 503-984-3376 |
| Organization Subpart ? | No |
| Primary Taxonomy | 320800000X Community Based Residential Treatment Facility, Mental Illness |
| Additional Taxonomies | 323P00000X Psychiatric Residential Treatment Facility |
| 251S00000X Community/Behavioral Health | |
| 3104A0625X Assisted Living Facility, Assisted Living, Mental Illness | |
| Enumeration Date | 2025-10-20 |
| Last Update Date | 2025-10-20 |